摘要
目的对比分析传统方法单纯松解术与手术松解联合单臂铰链式外固定架治疗对创伤后肘关节僵硬的临床疗效，为临床治疗提供理论依据。方法选择2012年1月～2014年1月人院诊断为创伤后肘关节僵硬患者共40例，随机分为对照组（n=20）和观察组（n=20），其中对照组采用单纯松解术，观察组采用松解术联合单臂铰链式外固定架治疗。对比两组患者治疗前后的肘关节功能评分（Mayo）、肘关节优良比例及肘关节活动度的差异性。结果两组患者均获8～13个月的随访，平均（11．2±2．1）个月。两组患者术后的Mayo评分、关节优良率及活动度均比术前增加，且观察组的上述指标比对照组增加的更明显，差异均有统计学意义（P〈0．05）。结论采用松解术联合单臂铰链式外固定架治疗肘关节僵硬的临床效果可能优于单纯松解术，值得临床推广。
Objective To study the clinical effect of operation releasing combined with unilateral hinged external fixation or releasing combined with common plaster fixation in the treatment of posttraumatie elbow stiffness. Methods A total of 40 consecutives suitable for the experiment from January 2012 to January 2014, were randomly divided into the control group（n=20） and the experiment group （n=20）,the patients in control group received releasing combined with common plaster fixation and the patients in experiment group received releasing combined with unilateral hinged external fixation,then the clinical effects were compared. Results The mean follow-up time was（ 11.2±2.1 ） months. The Mayo score, the excellent rate of joint and activity in the two groups were all better than before and they in the experiment group were all significantly more improvements than control group （P〈0.05）. Conclusion The operation releasing combined with unilateral hinged external fixation in the treatment of posttraumatic elbow stiffness could be better effect than common plaster fixation.
出处
《中国现代医生》
2016年第4期68-71,共4页
China Modern Doctor
基金
浙江省宁波市第二批科技项目(2015A610306)
关键词
肘关节
松解
单臂铰链式外固定架
僵硬
Elbow
Releasing
Unilateral hinged external fixation
Stiffness
